Covered Entity Details

DSH190202 OCHSNER MEDICAL CENTER- BATON ROUGE, LLC (Active) - information as of 5/4/2025 10:14:33 PM

Main Details

Name

OCHSNER MEDICAL CENTER- BATON ROUGE, LLC

Subdivision Name

Type

Disproportionate Share Hospital

Rural

340B ID

DSH190202

Medicare Provider Number

190202

Additional Details

Current Program Status

Active

Registration Date

6/10/2010

Participating Start Date

7/1/2010

Participating Approval Date

6/15/2010

Last Recertification Date

8/28/2024

Contacts

Authorizing Official

Ochsner Medical Center Baton Rouge
Dianne Teal, Chief Nursing officer
(225) 755-4983

Primary Contact

Ochsner Medical Center
Heather Maturin, Director of Pharmacy
(225) 755-4810

Addresses

Street Address

17000 MEDICAL CENTER DR.
BATON ROUGE, LA 70816

Billing Address

Ochsner Clinic Foundation - Accounts Payable
1201 Dickory Ave
New Orleans, LA 70123

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MS	225075	1053360651
NM	1053360651	1053360651
LA	1700797	1053360651
CO	1053360651	1053360651
GA	003138654A	1053360651
TX	329678203	1053360651

Shipping Addresses

Shipping Address 1

3PL Ochsner McKesson
3301 Pollok Dr
Conroe, TX 77303

Shipping Address 2

Ochsner Medical Center - Baton Rouge, LLC
17000 MEDICAL CENTER DR.
BATON ROUGE, LA 70816

Shipping Address 3

Safecor Health
4060 Business Park Dr
Suite B
Columbus, OH 43204

Shipping Address 4

Ochsner Medical Complex - The Grove Infusion Pharmacy
10310 The Grove Blvd.
Baton Rouge, LA 70836

Shipping Address 5

PETNET
67256 Industry Ln
Covington, LA 70433

Shipping Address 6

Cardinal
1405 Jefferson Hwy
New Orleans, LA 70121

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/18/2022	07/01/2022		07/01/2022
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/18/2022	07/01/2022		07/01/2022
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/18/2022	07/01/2022		07/01/2022
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/18/2022	07/01/2022		07/01/2022
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/18/2022	07/01/2022	10/01/2023	10/17/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/18/2022	07/01/2022		07/01/2022
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/18/2022	07/01/2022		07/01/2022
Contract Detail	AVITA PHARMACY 1037	AVITA DRUGS LLC-NOLA D/B/A AVITA PHARMAC	2519 CANAL ST	NEW ORLEANS	LA	70119	04/15/2016	07/01/2016		05/18/2016
Contract Detail	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/15/2016	07/01/2016		05/18/2016
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	10/14/2020	01/01/2021		01/01/2021
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	10/14/2020	01/01/2021		01/01/2021
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/14/2020	01/01/2021		01/01/2021
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/14/2020	01/01/2021		01/01/2021
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/14/2020	01/01/2021		01/01/2021
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/14/2020	01/01/2021		01/01/2021
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/14/2020	01/01/2021		01/01/2021
Contract Detail	COMMCARE PHARMACY-FTL, LLC	855 SW 78TH AVE STE C100		PLANTATION	FL	33324-3223	01/18/2017	04/01/2017	12/31/2021	04/12/2022
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	10/14/2020	01/01/2021		01/01/2021
Contract Detail	INFUSION PARTNERS, LLC	DBA BIOSCRIP INFUSION SERVICES	5401 JEFFERSON HWY STE B	NEW ORLEANS	LA	70123-4228	07/16/2016	10/01/2016	02/06/2018	04/26/2018
Contract Detail	INFUSION PARTNERS, LLC	DBA BIOSCRIP INFUSION SERVICES	5225 O'DONOVAN DRIVE SUITE 101	BATON ROUGE	LA	70808-7203	07/16/2016	10/01/2016	02/06/2018	04/26/2018
Contract Detail	INFUSION PARTNERS, LLC	DBA BIOSCRIP INFUSION SERVICES	5225 O'DONOVAN DRIVE SUITE 101	BATON ROUGE	LA	70808-7203	04/15/2019	07/01/2019		07/01/2019
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01661	17122 AIRLINE HWY.	PRAIRIEVILLE	LA	70769	04/14/2014	07/01/2014		05/18/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05280	2300 WEST THOMAS ST	HAMMOND	LA	70401	04/14/2014	07/01/2014		05/18/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05294	285 WEST PINE	PONCHATOULA	LA	70454	04/14/2014	07/01/2014		05/18/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05317	11430 FLORIDA BLVD	BATON ROUGE	LA	70815	04/14/2014	07/01/2014	07/12/2022	08/03/2022
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05334	640 S RANGE AVENUE	DENHAM SPRINGS	LA	70726-4413	04/15/2014	07/01/2014		05/18/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05318	9006 GREENWELL SPRINGS RD	BATON ROUGE	LA	70814	04/14/2014	07/01/2014	12/20/2023	01/02/2024
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05319	5889 AIRLINE HWY	BATON ROUGE	LA	70805	04/14/2014	07/01/2014		05/18/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05322	9608 JEFFERSON HWY	BATON ROUGE	LA	70809	04/14/2014	07/01/2014		05/18/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05324	3384 GOVERNMENT ST	BATON ROUGE	LA	70806	04/14/2014	07/01/2014	09/18/2023	10/17/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05374	14360 WAX ROAD	BATON ROUGE	LA	70818	04/14/2014	07/01/2014		05/18/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05510	11705 COURSEY BLVD.	BATON ROUGE	LA	70816	04/14/2014	07/01/2014	12/20/2023	01/04/2024
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05617	29881 WALKER RD. SOUTH/ PO BOX 1448	WALKER	LA	70785	04/14/2014	07/01/2014		05/18/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01116	7777 BLUEBONNET BLVD,, SUITE 100	BATON ROUGE	LA	70810	07/16/2016	10/01/2016		07/16/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05343	15255 GEORGE ONEAL RD SUITE A	BATON ROUGE	LA	70817	07/16/2016	10/01/2016		07/16/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05354	1624 N. BURNSIDE	GONZALES	LA	70737	07/16/2016	10/01/2016		07/16/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #1924	20501 OLD SCENIC HWY	ZACHARY	LA	70791-7365	10/14/2016	01/01/2017		10/14/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04761	3200 HIGLAND ROAD	BATON ROUGE	LA	70802	10/14/2016	01/01/2017		10/14/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05293	24600 CHURCH ST.	PLAQUEMINE	LA	70764	10/14/2016	01/01/2017		10/14/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05321	1214 MAIN ST	BAKER	LA	70714	10/14/2016	01/01/2017		10/14/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05615	2520 PLANK RD	BATON ROUGE	LA	70805	10/14/2016	01/01/2017		10/14/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY #06124	7411 FLORIDA BLVD.	BATON ROUGE	LA	70806	10/14/2016	01/01/2017		10/14/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08309	5360 HIGHLAND RD.,	BATON ROUGE	LA	70808	10/14/2016	01/01/2017		10/14/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 8961	12880 AIRLINE HWY	BATON ROUGE	LA	70817	10/14/2016	01/01/2017		10/14/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16708	6885 SIEGEN LN	BATON ROUGE	LA	70809	10/14/2016	01/01/2017		10/14/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	CVS PHARMACY # 17177	2001 MILLERVILLE RD	BATON ROUGE	LA	70816	10/14/2016	01/01/2017		10/14/2016
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10318	9326 BURBANK DRIVE	BATON ROUGE	LA	70820	07/19/2023	10/01/2023		10/01/2023
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	CVS PHARMACY # 17559	2030 HAMMOND SQUARE DR	HAMMOND	LA	70403	10/17/2023	01/01/2024		01/01/2024
Contract Detail	OCHSNER OUTPATIENT AND HOME INFUSION PHA	4115 JEFFERSON HWY		NEW ORLEANS	LA	70121	07/10/2019	10/01/2019		10/01/2019
Contract Detail	OCHSNER PHARMACY AND WELLNESS LLC	DBA OCHSNER PHARMACY AND WELLNESS - BATO	10310 THE GROVE BLVD	BATON ROUGE	LA	70836-6455	07/08/2014	10/01/2014		05/18/2016
Contract Detail	OCHSNER PHARMACY AND WELLNESS LLC	DBA - OCHSNER PHARMACY AND WELLNESS - DE	13100 RIVER RD STE 110	DESTREHAN	LA	70047-5216	10/27/2015	01/01/2016		05/18/2016
Contract Detail	OCHSNER PHARMACY AND WELLNESS LLC	DBA OCHSNER PHARMACY AND WELLNESS- O'NEA	16777 MEDICAL CENTER DR SUITE 103	BATON ROUGE	LA	70816-3254	07/14/2017	10/01/2017		10/01/2017
Contract Detail	OCHSNER PHARMACY AND WELLNESS LLC	DBA OCHSNER SPECIALTY PHARMACY - BATON R	11200 INDUSTRIPLEX BLVD STE 160	BATON ROUGE	LA	70809	01/14/2022	04/01/2022		04/01/2022
Contract Detail	OCHSNER SPECIALTY PHARMACY	1405 JEFFERSON HWY	SUITE A	NEW ORLEANS	LA	70121	04/15/2016	07/01/2016		05/18/2016
Contract Detail	OPTION CARE ENTERPRISES, INC.	D/B/A OPTION CARE	11403 BLUEGRASS PARKWAY SUITE 400	LOUISVILLE	KY	40299-2398	10/14/2019	01/01/2020		01/01/2020
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/21/2014	01/01/2015	03/01/2016	05/18/2016
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/14/2020	01/01/2021		01/01/2021
Contract Detail	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/16/2015	07/01/2015	12/07/2015	05/18/2016
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WAL-MART PHARMACY 10-0401	59690 BELLVIEW DR		PLAQUEMINE	LA	70764	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WAL-MART PHARMACY 10-0839	9350 CORTANA PL		BATON ROUGE	LA	70815	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WAL-MART PHARMACY 10-0935	904 S RANGE AVENUE		DENHAM SPRINGS	LA	70726	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WAL-MART PHARMACY 10-1266	2171 O'NEAL LANE		BATON ROUGE	LA	70816	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WAL-MART PHARMACY 10-2822	28270 WALKER SOUTH		WALKER	LA	70785	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WAL-MART PHARMACY 10-4679	34025 LA HWY 16		DENHAM SPRINGS	LA	70706-8629	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 10400	34865 LA HWY 16	DENHAM SPRINGS	LA	70706-0669	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 03180	101 FLORIDA AVE. SE	DENHAM SPRINGS	LA	70726	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 03085	14444 COURSEY BLVD.	BATON ROUGE	LA	70817	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #11762	10200 FLORIDA BLVD	WALKER	LA	70785	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS #13080	3081 S. RANGE AVE	DENHAM SPRINGS	LA	70726	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 07836	3671 JOOR ROAD	BATON ROUGE	LA	70814-3104	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 07440	2001 ONEAL LANE	BATON ROUGE	LA	70816-3204	01/15/2021	04/01/2021		04/01/2021
Contract Detail	WALGREEN LOUISIANA CO., INC.	DBA: WALGREENS # 02980	4747 S SHERWOOD FOREST	BATON ROUGE	LA	70816	01/15/2021	04/01/2021		04/01/2021
Contract Detail	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	04/12/2023	07/01/2023		07/01/2023
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/04/2024	04/01/2024		04/01/2024
Contract Detail	WALMART PHARMACY 10-7241	25820 LA HWY 16		DENHAM SPRINGS	LA	70726	01/15/2021	04/01/2021		04/01/2021
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/17/2023	01/01/2024		01/01/2024

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH190202A	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Hematology & Onc Inf BNRH TG01 - HGVH INFUSION	10310 The Grove Blvd.	BATON ROUGE	LA	Active
DSH190202AA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Internal Medicine BNRP SR01 - CENC INTERNAL MEDICINE	11424 Sullivan Rd	Central	LA	Active
DSH190202AB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes CEN	11424-2 Sullivan Rd	Central	LA	Terminated
DSH190202AC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Urology PRV	16220 Airline Hwy	Prairieville	LA	Active
DSH190202AD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Hematology & Oncol BNRP MC02 - BRCC BENIGN HEMATOLOGY ONCOLOGY	17050 Medical Center Dr., 1st Floor	Baton Rouge	LA	Active
DSH190202AE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Gastroenterology BNRP AH02 - PRVC GASTROENTEROLOGY	16220 Airline Hwy	Prairieville	LA	Active
DSH190202AF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Otorhinolaryngology BNRP MC03 - ONLC OTORHINOLARYNGOLOGY	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202AG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Podiatry Surgical BNRP MC03 - ONLC PODIATRY	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202AH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Coumadin Clinic BNRP MC03 - ONLC COUMADIN	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202AJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes Management BNRP AH02 - PRVC DIABETES MANAGEMENT PROGRAM	16220 Airline Hwy	Prairieville	LA	Active
DSH190202AK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Urology BNRP MC03 - Oneal Urology	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202AL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pulmonary BNRP MC03 - ONLC PULMONARY SERVICES	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202AM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	General Surgery BNRP MC03 - ONLC GENERAL SURGERY	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202AN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Orthopedic Surgery BNRP TG01 - Grove Orthopedics Surgery	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202AP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Gastroenterology BNRP MC03 - ONLC GASTROENTEROLOGY	16777 Medical Center	Baton Rouge	LA	Active
DSH190202AQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Nephrology BNRP MC03 - ONLC NEPHROLOGY	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202AR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Optometry BNRP SA01 - Grove Optometry	10310 The Grove Blvd.	BATON ROUGE	LA	Terminated
DSH190202AS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes BNRP MC03 - Oneal Diabetes	16777 Medical Center DR	Baton Rouge	LA	Terminated
DSH190202AT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Nephrology BNRP TG01 - HGVC NEPHROLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202AU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pediatrics BNRP TG01 - HGVC PEDIATRICS	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202AV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Podiatry BNRP TG01 - HGVC PODIATRY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202AW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Allergy BNRP MC03 - ONLC ALLERGY / IMMUNOLOGY	16777 Medical Center Dr	BATON ROUGE	LA	Active
DSH190202AX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Allergy BNRP TG01 - HGVC ALLERGY / IMMUNOLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202AY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Internal Medicine HPB	7855 Howell Place Blvd	Baton Rouge	LA	Terminated
DSH190202AZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Internal Medicine BNRP MC03 - ONLC INTERNAL MEDICINE	16777 Medical Center Dr	BATON ROUGE	LA	Active
DSH190202B	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Rheumatology Inf Ctr BNRH SA01 - Grove Rheumatology Infusion Pharmacy	10310 The Grove Blvd.	BATON ROUGE	LA	Terminated
DSH190202BA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pediatrics BNRP MC03 - ONLC PEDIATRICS	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202BB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Orthopedics BNRP MC03 - ONLC ORTHOPEDICS	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202BC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Ophthalmology BNRP MC03 - ONLC OPHTHALMOLOGY	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202BD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiology BNRP SR01 - Central Cardiology	11424 Sullivan Rd	Baton Rouge	LA	Terminated
DSH190202BE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiology BNRP AH02 - PRVC CARDIOLOGY	16220 Airline Hwy	Baton Rouge	LA	Active
DSH190202BF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Coumadin Clinic BNRP TG01 - HGVC COUMADIN	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202BG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	After Hours Clinic BRM	10310 The Grove Blvd	Baton Rouge	LA	Terminated
DSH190202BH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Obstetric&Gynecology BNRP MC03 - ONLC OBSTETRICS AND GYNECOLOGY	16777 Medical Center Dr	BATON ROUGE	LA	Active
DSH190202BJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes Support BNRP TG01 - Grove Diabetes Support	10310 The Grove Blvd	Baton Rouge	LA	Terminated
DSH190202BK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Family Practice BNRP VA01 - HMDC FAMILY MEDICINE	41676 Veterans Ave	Hammond	LA	Active
DSH190202BL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	General Surgery HMD	41676 Veterans Ave	Hammond	LA	Terminated
DSH190202BM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Infectious Diseases BRM	10310 The Grove Blvd	Baton Rouge	LA	Terminated
DSH190202BN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Internal Medicine BNRP TG01 - HGVC INTERNAL MEDICINE	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202BP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC ALLERGY BRM	16777 Medical Center Dr	BATON ROUGE	LA	Terminated
DSH190202BQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC DIABETES ONL	16777 Medical Center Dr	Baton Rouge	LA	Terminated
DSH190202BR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC OPTOMETRY BRM	9001 Summa Ave	Baton Rouge	LA	Terminated
DSH190202BS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC ORTHOPEDIC SURGERY BRM	9001 Summa Ave	Baton Rouge	LA	Terminated
DSH190202BT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC PEDIATRICS BRM	9001 Summa Ave	Baton Rouge	LA	Terminated
DSH190202BU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC PHYSIATRY BRM	9001 Summa Ave	Baton Rouge	LA	Terminated
DSH190202BV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiology BNRP DB02 - HMCC CARDIOLOGY	16045 Doctors Blvd	Hammond	LA	Active
DSH190202BW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiology BNRP MC03 - ONLC CARDIOLOGY	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202BX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC GENERAL SURGERY BRM	9001 Summa Ave	Baton Rouge	LA	Terminated
DSH190202BY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	General Surgery BNRP TG01 - HGVC GENERAL SURGERY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202BZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC PODIATRY II BRM	9001 Summa Ave	Baton Rouge	LA	Terminated
DSH190202C	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Hematology & Onc Inf BNRH MC02 - BRCH INFUSION	17050 MEDICAL CENTER DRIVE. 1st FLOOR	BATON ROUGE	LA	Active
DSH190202CA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Rheumatology BNRP TG01 - HGVC RHEUMATOLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202CB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Hematology&Oncology BNRP TG01 - HGVC BENIGN HEMATOLOGY ONCOLOGY	10310 The Grove Blvd	BATON ROUGE	LA	Active
DSH190202CC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Hematology & Oncol BNRP VA01 - HMDC BENIGN HEMATOLOGY ONCOLOGY	41676 Veterans Ave	Hammond	LA	Active
DSH190202CD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Gastroenterology BNRP TG01 - HGVC GASTROENTEROLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202CE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC PULMONARY LAB BRM	9001 Summa Ave	Baton Rouge	LA	Terminated
DSH190202CF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pulmonary Diseases BNRP TG01 - HGVC PULMONARY SERVICES	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202CG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pulmonary Laboratory BNRP TG01 - HGVC PULMONARY FUNCTION SERVICES	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202CH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Neurology BNRP MC03 - ONLC NEUROLOGY	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202CJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC NEPHROLOGY BRM	9001 Summa Ave	Baton Rouge	LA	Terminated
DSH190202CK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC PSYCHIATRY BRM	9001 Summa Ave	Baton Rouge	LA	Terminated
DSH190202CL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Intervent Pain Med BNRP MC03 - ONLC INTERVENTIONAL PAIN MEDICINE	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202CM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Optometry BNRP MC03 - Oneal Optometry	16777 Medical Center Dr	Baton Rouge	LA	Terminated
DSH190202CN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Ophthalmology BNRP TG01 - HGVC OPHTHALMOLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202CP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Psychiatry BNRP TG01 - HGVC PSYCHIATRY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202CQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Physiatry BNRP TG01 - HGVC HEALTHY BACK	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202CR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Podiatry BNRP VA01 - HMDC PODIATRY	41676 Veterans Ave	Hammond	LA	Active
DSH190202CS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Otorhinolaryngology BNRP TG01 - HGVC OTORHINOLARYNGOLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202CT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Orthopedics CEN	11424-2 Sullivan Rd	Central	LA	Terminated
DSH190202CU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Orthopedics BNRP VA01 - HMDC ORTHOPEDICS	41676 Veterans Ave	Hammond	LA	Active
DSH190202CV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Obstetric&Gynecology BNRP TG01 - HGVC OBSTETRICS AND GYNECOLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202CW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Optometry IBV	25420 LA Hwy 1	Plaquemine	LA	Terminated
DSH190202CX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Spec Cardiology Proc BNRP SA01 - Grove Special Cardiac Procedures	10310 The Grove Blvd	Baton Rouge	LA	Terminated
DSH190202CY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardio Vasc Surgery BNRP VA01 - Hammond Cardiovascular Surgery	41676 Veterans Ave	Hammond	LA	Terminated
DSH190202CZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER HEALTH CENTER-SHERWOOD / Cardiology PB SWD	170 MCGEHEE DR	BATON ROUGE	LA	Terminated
DSH190202D	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Arrhythmia Procedure BRNH TG01 - HGVC ARRHYTHMIA	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202DA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Internal Medicine BNRP HW07 - IBVC INTERNAL MEDICINE	25455 HWY 1	PLAQUEMINE	LA	Active
DSH190202DB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER HEALTH CENTER TANGIPAHOA / Urology PB HMD	41676 VETERANS AVE	HAMMOND	LA	Terminated
DSH190202DC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiology BNRP VB02 - DSSC CARDIOLOGY	139 VETERANS BLVD	DENHAM SPRINGS	LA	Active
DSH190202DD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Podiatry BNRP AH02 - PRVC PODIATRY	16220 AIRLINE HWY	PRAIRIEVILLE	LA	Active
DSH190202DE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Obstetric&Gynecology BNRP VA01 - Hammond OBGYN	41676 VETERANS AVE	HAMMOND	LA	Terminated
DSH190202DF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH VB02 - DSSH LABORATORY	139 VETERANS BLVD	DENHAM SPRINGS	LA	Active
DSH190202DG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Gastroenterology BNRP VA01 - Hammond Gastroenterology	41676 VETERANS AVE	HAMMOND	LA	Terminated
DSH190202DH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER HEALTH CENTER-SHERWOOD / Occupational Medicine PB SWD	170 MCGEHEE DR	BATON ROUGE	LA	Terminated
DSH190202DJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Urgent Care BNRP VB02 - DSSC URGENT CARE	139 VETERANS BLVD	DENHAM SPRINGS	LA	Active
DSH190202DK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Internal Medicine BNRP VB02 - DSSC INTERNAL MEDICINE	139 VETERANS BLVD	DENHAM SPRINGS	LA	Active
DSH190202DL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Primary Care BNRP MD01 - Sherwood Primary Care	170 MCGEHEE DR	BATON ROUGE	LA	Terminated
DSH190202DN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	RadiologyDiagnostic1 BNRH TG01 - HGVH PAIN MANAGEMENT XRAY	10310 The Grove Blvd	BATON ROUGE	LA	Active
DSH190202DP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	CT Mobile BNRH VA01 - HMDH CT SCAN	41676 VETERANS AVE	HAMMOND	LA	ToBeTerminated
DSH190202DQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	CT Scan BNRH TG01 - HGVH CT SCAN	10310 The Grove Blvd	BATON ROUGE	LA	Active
DSH190202DR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	MRI BNRH HW07 - IBVH MRI	25455 HWY 1	PLAQUEMINE	LA	Active
DSH190202DS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Radiology Diagnostic BNRH HW07 - IBVH XRAY	25455 HWY 1	PLAQUEMINE	LA	Active
DSH190202DT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Obstetric&Gynecology BNRP VB02 - DSSC OBSTETRICS AND GYNECOLOGY	139 VETERANS BLVD	DENHAM SPRINGS	LA	ToBeTerminated
DSH190202DU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiology BNRP HW07 - IBVC CARDIOLOGY	25455 HWY 1	PLAQUEMINE	LA	Active
DSH190202DV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL COMPLEX - IBERVILLE / Urology Clinic	25455 HWY 1	PLAQUEMINE	LA	Terminated
DSH190202DW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	CT Scan BNRH HW07 - IBVH CT SCAN	25455 HWY 1	PLAQUEMINE	LA	Active
DSH190202DX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Endocrinology BNRP TG01 - HGVC ENDOCRINOLOGY	10310 The Grove Blvd	BATON ROUGE	LA	Active
DSH190202DY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Intervent Pain Med BNRP TG01 - HGVC INTERVENTIONAL PAIN MEDICINE	10310 The Grove Blvd	BATON ROUGE	LA	Active
DSH190202DZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER HEALTH CENTER - ZACHARY - Urgent Care BNRP	4845 MAIN ST	ZACHARY	LA	Terminated
DSH190202E	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Sleep Laboratory BNRP TG01 - HGVC SLEEP CLINIC	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202EA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL COMPLEX - IBERVILLE - Otorhinolaryngology BNRP	25455 HWY 1	PLAQUEMINE	LA	Terminated
DSH190202EB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Rheumatology BNRP HW07 - Iberville Rheumatology	25455 HWY 1	PLAQUEMINE	LA	Terminated
DSH190202EC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH MS02 - ZACH LABORATORY	4845 MAIN ST	ZACHARY	LA	Active
DSH190202ED	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Obstetric&Gynecology BNRP MS02 - ZACC OBSTETRICS AND GYNECOLOGY	4845 MAIN ST	ZACHARY	LA	Active
DSH190202EE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Free Standing ED BNRH HW07 - IBVH EMERGENCY DEPARTMENT	25455 HWY 1	PLAQUEMINE	LA	Active
DSH190202EF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pediatrics BNRP MS02 - ZACC PEDIATRICS	4845 MAIN ST	ZACHARY	LA	Active
DSH190202EG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Primary Care BNRP MS02 - ZACC INTERNAL MEDICINE	4845 MAIN ST	ZACHARY	LA	Active
DSH190202EH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	MRI BNRH TG01 - HGVH MRI	10310 The Grove Blvd	BATON ROUGE	LA	Active
DSH190202EJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH HW07 - IBVH LABORATORY	25455 HWY 1	PLAQUEMINE	LA	Active
DSH190202EK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Ultrasonography BNRH TG01 - HGVH ULTRASOUND	10310 The Grove Blvd	BATON ROUGE	LA	Active
DSH190202EL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER HEALTH CENTER TANGIPAHOA - Otorhinolaryngology BNRP	41676 VETERANS AVE	HAMMOND	LA	Terminated
DSH190202EM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	ENT BNRP MS02 - Zachary ENT	4845 MAIN ST	ZACHARY	LA	Terminated
DSH190202EN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Orthopedics BNRP MS02 - Zachary Orthopedics	4845 MAIN ST	ZACHARY	LA	Terminated
DSH190202EP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Neurosurgery BNRP TG01 - HGVC NEUROSURGERY	10310 THE GROVE BLVD	BATON ROUGE	LA	Active
DSH190202EQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Radiation Oncology BNRP MC02 - BRCC RADIATION ONCOLOGY	17050 MEDICAL CENTER DRIVE	BATON ROUGE	LA	Active
DSH190202ER	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	General Surgery BNRP HW07 - Iberville General Surgery	25455 HWY 1	PLAQUEMINE	LA	Terminated
DSH190202ES	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Smoking Cessation BNRP DB02 - HMCC SMOKE CESSATION AND TRUST TOBACCO	16045 DOCTORS BLVD	HAMMOND	LA	Active
DSH190202ET	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Smoking Cessation BNRP HW07 - Iberville	25455 HWY 1	PLAQUEMINE	LA	Terminated
DSH190202EU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes Management BNRP VA01 - HMDC DIABETES MANAGEMENT PROGRAM	41676 VETERANS AVE	HAMMOND	LA	Active
DSH190202EV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Gyneocology Oncology BNRP MC0 - Cancer Center Gynocology Oncology	17050 MEDICAL CENTER DRIVE	BATON ROUGE	LA	Terminated
DSH190202EW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Urooncology BNRP MC02 - BRCC UROLOGY ONCOLOGY	17050 MEDICAL CENTER DRIVE	BATON ROUGE	LA	Active
DSH190202EX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Smoking Cessation BNRP VB02 - DSSC SMOKING CESSATION AND TOBACCO TRUST	139 VETERANS BLVD	DENHAM SPRINGS	LA	Active
DSH190202EY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Nephrology BNRP DB02 - HMCC NEPHROLOGY	16045 Doctors Blvd	Hammond	LA	Active
DSH190202EZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiothoracic Surg BNRP MC03 - ONLC CARDIOTHORACIC SURGERY	16777 Medical Center Dr.	Baton Rouge	LA	Active
DSH190202F	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Audiology BNRP TG01 - HGVC AUDIOLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202FA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Smoking Cessation BNRP MC03 - ONLC SMOKING CESSATION TOBACCO TRUST	16777 Medical Center Dr.	Baton Rouge	LA	Active
DSH190202FB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes Management BNRP VB02 - DSSC DIABETES MANAGEMENT PROGRAM	139 VETERANS BLVD	DENHAM SPRINGS	LA	Active
DSH190202FC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Arrhythmia Procedure BNRP MC03 - Oneal Arrhythmia Procedure - Arrhythmia Procedure	16777 Medical Center Dr	Baton Rouge	LA	Terminated
DSH190202FD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pulmonary Laboratory BNRP TG01 - ONLC PULMONARY FUNCTION SERVICES	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202FE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Smoking Cessation BNRP TG01 - HGVC SMOKE CESSATION	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202FF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Neurosurgery BNRP MC03 - ONLC NEUROSURGERY	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202FG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Respiratory Therapy BNRH TG01 - HGVH RESPIRATORY THERAPY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202FH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Post Anest Care Unit BNRH TG01 - HGVH PACU	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202FJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	MRI BNRH TG01 - Prairieville MRI - Prairieville MRI	16220 Airline Hwy	Prairieville	LA	Terminated
DSH190202FK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Anesthesiology BNRH TG01 - HGVH ANESTHESIOLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202FL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Peds Urology BNRP TG01 - HGVC PEDIATRIC UROLOGY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202FM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	CT Scan BNRH MC02 - BRCH CT SCAN	17050 Medical Center Drive	Baton Rouge	LA	Active
DSH190202FN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	General Surgery BNRP MC02 - BRCC GENERAL SURGERY	17050 Medical Center Dr	Baton Rouge	LA	Approved
DSH190202FP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Thoracic Surgery BNRP MC02 - Cancer Center Thoracic Surgery - Cancer Center Thoracic Surgery	17050 Medical Center Dr	Baton Rouge	LA	Terminated
DSH190202FQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Surgery BNRH TG01 - HGVH INTRA OP	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202FR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Respiratory Therapy BNRH HW07 - IBVH RESPIRATORY THERAPY	25455 Highway 1	Plaquemine	LA	Active
DSH190202FS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pain Management BNRH TG01 - HGVH PAIN MANAGEMENT	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202FT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pre-Admit Testing BNRH TG01 - HGVH PRE-ADMIT	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202FU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Preoperative BNRH TG01 - HGVH PRE/POST OP	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202FV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Rheumatology BNRP MC03 - ONLC RHEUMATOLOGY	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202FW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Endoscopy BNRH TG01 - HGVH ENDO PRE/POST-OP	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202FX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Arrhythmia BNRP MC03 - ONLC ARRHYTHMIA	16777 Medical Center Dr	Baton Rouge	LA	Terminated
DSH190202FY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH TG01 - HGVH LABORATORY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202FZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pulmonary Lab BNRP AH02 - PRVC PULMONARY FUNCTION SERVICES	16220 Airline Highway	Prairieville	LA	Active
DSH190202G	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Dermatology BNRP TG01 - HGVC DERMATOLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202GA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Psychiatry BNRP MC03 - ONLC PSYCHIATRY	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202GB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Sports Medicine BNRP BB02 - Bluebonnet Sports Medicine - Sports Medicine	10150 Bluebonnet Blvd	Baton Rouge	LA	Terminated
DSH190202GC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Urology BNRP TG01 - HGVC UROLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202GD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes Institute BNRP TG01 - HGVC DIABETES CARE AND EDUCATION	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202GE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Orthopedics BNRP HW07 - IBVC ORTHOPEDICS	25455 Highway 1	Plaquemine	LA	Active
DSH190202GF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Special Card Proced BRNH MC03 - ONLH SPECIAL CARD PROCEDURES	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202GG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes Institute BNRP MC03 - ONLC DIABETES MANAGEMENT PROGRAM	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202GH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC PULMONARY ONL	16777 Medical Center Dr	Baton Rouge	LA	Terminated
DSH190202GJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Special Card Proced BRNH DB02 - HMCH SPECIAL CARD PROCEDURES	16045 Doctors Blvd	Hammond	LA	Active
DSH190202GK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Special Card Proced BRNH AH02 - PRVH SPECIAL CARD PROCEDURES	16220 Airline Highway	Prairieville	LA	Active
DSH190202GL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pulmonary Diseases BNRP AH02 - PRVC PULMONARY SERVICES	16220 Airline Highway	Prairieville	LA	Active
DSH190202GM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes Management BNRP HW07 - IBVC DIABETES MANAGEMENT	25455 Highway 1	Plaquemine	LA	Active
DSH190202GN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Advnc Heart Failure BNRP MC03 - ONLC ADVANCED HEART FAILURE AND TRANSPLANT	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202GP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Primary Care BNRP BB02 - BRBC PRIMARY CARE	10150 Bluebonnet Blvd	Baton Rouge	LA	Active
DSH190202GQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Obstetric&Gynecology BNRP BB02 - BRBC OBSTETRICS AND GYNECOLOGY	10150 Bluebonnet Blvd	Baton Rouge	LA	Active
DSH190202GR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Colon&Rectal Surgery BRNP MC02 - BRCC COLON AND RECTAL SURGERY	17050 Medical Center Dr	Baton Rouge	LA	Active
DSH190202GS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Podiatry BNRP VB02 - DSSC PODIATRY	139 Veterans Blvd	Denham Springs	LA	Active
DSH190202GT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Special Card Proced BRNH TG01 - HGVH SPECIAL CARD PROCEDURES	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202GU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pediatrics BNRP HW07 - Iberville Pediatrics	25455 Hwy 1	Plaquemine	LA	Terminated
DSH190202GV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Intervent Pain Mgmt BNRP DB02 - HMCC INTERVENTIONAL PAIN MEDICINE	16045 Doctors Blvd	Hammond	LA	Active
DSH190202GW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	General Surgery BNRP VA01 - HMDC GENERAL SURGERY	41676 Veterans Ave	Hammond	LA	Active
DSH190202GX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Radiation Therapy BNRH MC02 - BRCH RADIATION THERAPY	17050 Medical Center Drive	Baton Rouge	LA	Active
DSH190202GY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Nuclear Medicine BNRH TG01 - HGVH NUCLEAR MEDICINE	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202GZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Prim Care Sports Med BNRP BA05 - GBSC SPORTS MEDICINE PRIMARY CARE	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202H	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Audiology BNRP MC03 - ONLC AUDIOLOGY	16777 Medical Center Dr	Baton Rouge	LA	Active
DSH190202HA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	ATOP Sports Med BNRP TG01 - HGVC SPORTS MEDICINE	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202HB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Peds Oncology BNRP TG01 - HGVC PEDIATRIC ONCOLOGY	10310 The Grove Boulevard	Baton Rouge	LA	Terminated
DSH190202HC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Breast Center BNRH TG01 - HGVH MAMMOGRAPHY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202HD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes Mgmt Progr BNRP JH09 - JPLC DIABETES MANAGEMENT	8150 Jefferson Highway	Baton Rouge	LA	Terminated
DSH190202HE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Peds Plastic Surgery BNRP TG01 - HGVC PEDIATRIC PLASTIC SURGERY	10310 The Grove Boulevard	Baton Rouge	LA	Terminated
DSH190202HF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Primary Care CommHth BNRP HP01 - HRDC PRIMARY CARE	7855 Howell Place Boulevard	Baton Rouge	LA	Active
DSH190202HG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH VA01 - HMDH LABORATORY	41676 Veterans Avenue	Hammond	LA	Active
DSH190202HH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Bone Density BNRH VA01 - HMDH BONE MINERAL DENSITY	41676 Veterans Avenue	Hammond	LA	Active
DSH190202HJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Vascular Surgery BNRP TG01 - HGVC VASCULAR SURGERY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202HK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Psychiatry BNRP MC02 - BRCC PSYCHIATRY	17050 Medical Center Drive	Baton Rouge	LA	Active
DSH190202HL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Dermatology Surgery BNRP MC02 - BRCC DERMATOLOGY SURGERY	17050 Medical Center Drive	Baton Rouge	LA	Terminated
DSH190202HM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Dermatology BNRP AH02 - PRVC DERMATOLOGY	16220 Airline Highway	Prairieville	LA	Active
DSH190202HN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Dermatology BNRP BB02 - BRBC DERMATOLOGY	10150 Bluebonnet Boulevard	Baton Rouge	LA	Active
DSH190202HP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Dermatology Plaza II BNRP MC02 - BRCC DERMATOLOGY	17050 Medical Center Drive	Baton Rouge	LA	Active
DSH190202HQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Dermatology BNRP HW04 - DHMC DERMATOLOGY	30819 LA Highway 16	Denham Springs	LA	Terminated
DSH190202HR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Peds Cardio BNRP BA05 - GBSC PEDIATRIC CARDIOLOGY	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202HS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Struct Heart Cardio BNRP TG01 - HGVC STRUCTURAL HEART CARDIOLOGY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202HT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Peds Cardio BNRP TG01 - HGVC PEDIATRIC CARDIOLOGY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202HU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiology BNRP HW04 - DHMC CARDIOLOGY	30819 LA Highway 16	Denham Springs	LA	Active
DSH190202HV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Spec Cardiology Proc BNRP TG01 - CENC SPECIAL CARD PROCEDURES	11424 Sullivan Road	Baton Rouge	LA	Active
DSH190202HW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiology BNRP JH09 - JPLC CARDIOLOGY	8150 Jefferson Highway	Baton Rouge	LA	Active
DSH190202HX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Peds BreesFamCtr BNRP HP01 - HRDC PEDIATRICS	7855 Howell Place Boulevard	Baton Rouge	LA	Active
DSH190202HY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pediatrics BNRP BB02 - BRBC PEDIATRICS	10150 Bluebonnet Boulevard	Baton Rouge	LA	Approved
DSH190202HZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pediatrics BNRP GB13 - BRGC PEDIATRICS	8040 Goodwood Boulevard	Baton Rouge	LA	Active
DSH190202J	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiology BNRP TG01 - HGVC CARDIOLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202JA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Radiology Diagnostic BNRH AH02 - PRVH XRAY	16220 Airline Highway	Prairieville	LA	Active
DSH190202JB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Radiology Diagnostic BNRH HW04 - DHMH XRAY	30819 LA Highway 16	Denham Springs	LA	Active
DSH190202JC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Radiology Diagnostic BNRH MC03 - ONLH XRAY	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202JD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Radiology Diagnostic BNRH BA05 - GBSH XRAY	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202JE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Radiology Diagnostic BNRH JH09 - JPLH XRAY	8150 Jefferson Highway	Baton Rouge	LA	Active
DSH190202JF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Radiology Diagnostic BNRH SR01 - CENH XRAY	11424 Sullivan Road	Baton Rouge	LA	Active
DSH190202JG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pulmonary Laboratory BNRP TG01 - CENC PULMONARY FUNCTION SERVICES	11424 Sullivan Road	Baton Rouge	LA	Active
DSH190202JH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Lab Draw Station BNRH BA05 - GBSH LABORATORY	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202JJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH AH02 - PRVH LABORATORY	16220 Airline Highway	Prairieville	LA	Active
DSH190202JK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH MC03 - ONLH LABORATORY	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202JL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH HP01 - HRDH LABORATORY	7855 Howell Place Boulevard	Baton Rouge	LA	Active
DSH190202JM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH JH09 - JPLH LABORATORY	8150 Jefferson Highway	Baton Rouge	LA	Active
DSH190202JN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH HW04 - DHMH LABORATORY	30819 LA Highway 16	Denham Springs	LA	Active
DSH190202JP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH BB02 - BRBH LABORATORY	10150 Bluebonnet Boulevard	Baton Rouge	LA	Active
DSH190202JQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Laboratory BNRH SR01 - CENH LABORATORY	11424 Sullivan Road	Baton Rouge	LA	Active
DSH190202JR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Lab Cancer Center BNRH MC02 - BRCH LABORATORY DRAW STATION	17050 Medical Center Drive	Baton Rouge	LA	Active
DSH190202JS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Hematology Oncology BNRP BA05 - GBSC HEMATOLOGY ONCOLOGY	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202JT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Hematology Oncology BNRP AH02 - PRVC HEMATOLOGY AND ONCOLOGY	16220 Airline Highway	Prairieville	LA	Active
DSH190202JU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Mammography BNRH VA01 - HMDH MAMMOGRAPHY	41676 Veterans Avenue	Hammond	LA	Active
DSH190202JV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Mammography BNRH MC03 - ONLH MAMMOGRAPHY	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202JW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Mammography BNRH AH02 - PRVH MAMMOGRAPHY	16220 Airline Highway	Prairieville	LA	Active
DSH190202JX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Urology BNRP BA05 - GBSC UROLOGY	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202JY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Peds Neurology BNRP TG01 - HGVC PEDIATRIC NEUROLOGY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202JZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Child DVLP CTR BNRP TG01 - HGVC BOH PEDIATRIC PSYCHOLOGY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202K	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiology BNRP HW04 - Denham Springs North Cardiology	30819 Hwy 16	Denham Springs	LA	Terminated
DSH190202KA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Bone Density BNRH MC03 - ONLH DEXA BONE MINERAL DENSITY	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202KB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Colon&Rectal Surgery BNRP TG01 - HGVC COLON AND RECTAL SURGERY	10310 The Grove Boulevard	Baton Rouge	LA	ToBeTerminated
DSH190202KC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	General Surgery BNRP AH02 - PRVC GENERAL SURGERY	16220 Airline Highway	Prairieville	LA	ToBeTerminated
DSH190202KD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Peds General Surgery BNRP TG01 - HGVC PEDIATRIC GENERAL SURGERY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Colon&Rectal Surgery BNRP MC03 - ONLC COLON AND RECTAL SURGERY	16777 Medical Center Drive	Baton Rouge	LA	ToBeTerminated
DSH190202KF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Breast Surgery BNRP TG01 - HGVC BREAST SURGERY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Peds Gastroenterolog BNRP TG01 - HGVC PEDIATRIC GASTROENTEROLOGY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Peds Pulmonary BNRP TG01 - HGVC PEDIATRIC PULMONOLOGY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OTW Grove Peds BNRH TG01 - HGVH PEDIATRIC OUTPATIENT REHAB SERVICES	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pediatric Infusion BNRH TG01 - HGVH PEDIATRIC INFUSION	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Obstetric&Gynecology BNRP AH02 - PRVC OBSTETRICS AND GYNECOLOGY	16220 Airline Highway	Prairieville	LA	Active
DSH190202KM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Women's Services BNRP BA05 - GBSC OBSTETRICS AND GYNECOLOGY	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202KN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OBGYN BNRP HP01 - HRDC OBSTETRICS AND GYNECOLOGY	7855 Howell Place Boulevard	Baton Rouge	LA	Active
DSH190202KP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Ultrasound BNRH AH02 - PRVH ULTRASOUND	16220 Airline Highway	Prairieville	LA	Active
DSH190202KQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Ultrasonography BNRH MC03 - ONLH ULTRASOUND	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202KR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Ultrasonography BNRH BA05 - GBSH ULTRASOUND	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202KS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Ultrasonography BNRH VA01 - HMDH ULTRASOUND	41676 Veterans Avenue	Hammond	LA	Active
DSH190202KT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Grove Hepatology BNRP TG01 - HGVC HEPATOLOGY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Prim Care Sports Med BNRP TG01 - HGVC SPORTS MEDICINE PRIMARY CARE	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Prim Care Gonzales BNRP BA05 - GBSC PRIMARY CARE	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202KW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	HGVC Hered&High Risk BNRP TG01 - HGVC HEREDITARY AND HIGH RISK CLINIC	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Lifestyle & Wellness BNRP TG01 - HGVC LIFESTYLE AND WELLNESS	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Nutrition & Wellness BNRP TG01 - HGVC NUTRITION AND WELLNESS	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202KZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	X Ray BNRH VA01 - HMDH XRAY	41676 Veterans Avenue	Hammond	LA	Active
DSH190202L	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Neurology BNRP TG01 - HGVC NEUROLOGY	10310 The Grove Blvd	Baton Rouge	LA	Active
DSH190202LA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Radiology Diagnostic BNRH HP01 - HRDH XRAY	7855 Howell Place Boulevard	Baton Rouge	LA	ToBeTerminated
DSH190202LB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Ophthalmology BNRP VB02 - DSSC OPHTHALMOLOGY	139 Veterans Boulevard	Denham Springs	LA	Active
DSH190202LC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Ophthalmology/Opto BNRP AH02 - PRVC OPHTHALMOLOGY	16220 Airline Highway	Prairieville	LA	Active
DSH190202LD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	MRI BNRH BA05 - GBSH MRI	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202LE	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	MRI Mobile BNRH VA01 - HMDH MRI	41676 Veterans Avenue	Hammond	LA	Terminated
DSH190202LF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OP Rehab Svcs BNRH OL02 - ONLH PHYSICAL MEDICINE & REHAB	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202LG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	OP Rehab Svcs BNRH TG01 - HGVH REHAB OUTPATIENT SERVICES	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202LH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	ONLH Cardiac Rehab BNRH MC03 - ONLH CARDIAC REHAB	16777 Medical Center Drive	Baton Rouge	LA	Terminated
DSH190202LJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pulmonary Rehab BNRH MC03 - ONLH PULMONARY REHAB	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202LK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Orthopedics BNRP VB02 - DSSC ORTHOPEDICS	139 Veterans Boulevard	Denham Springs	LA	Terminated
DSH190202LL	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Orthopedics BNRP AH02 - PRVC ORTHOPEDICS	16220 Airline Highway	Prairieville	LA	Active
DSH190202LM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Palliative Care BNRP MC03 - ONLC PALLIATIVE CARE	16777 Medical Center Drive	Baton Rouge	LA	ToBeTerminated
DSH190202LN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Palliative Care BNRP MC02 - BRCC PALLIATIVE CARE	17050 Medical Center Drive	Baton Rouge	LA	Active
DSH190202LP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Psychiatry BNRP VA01 - HMDC PSYCHIATRY	41676 Veterans Avenue	Hammond	LA	Terminated
DSH190202LQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Beh Hlth BreesFamCtr BNRP HP01 - HRDC PSYCHIATRY	7855 Howell Place Boulevard	Baton Rouge	LA	ToBeTerminated
DSH190202LR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Intervent Pain Med BNRP AH02 - PRVC INTERVENTIONAL PAIN MEDICINE	16220 Airline Highway	Prairieville	LA	Active
DSH190202LS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Interv Pain Mgmt BNRP BA05 - GBSC PAIN MANAGEMENT	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202LT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Prim Care Och65 PLUS BNRP JH21 - BSFC 65 PLUS CLINIC	7949 Jefferson Highway	Baton Rouge	LA	Active
DSH190202LU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Smoking Cessation BNRP VA01 - HMDC SMOKE CESSATION AND TRUST TOBACCO	41676 Veterans Avenue	Hammond	LA	Active
DSH190202LV	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Audiology BNRP AH02 - PRVC AUDIOLOGY	16220 Airline Highway	Prairieville	LA	ToBeTerminated
DSH190202LW	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Bone Density BNRH TG01 - HGVH DEXA BONE MINERAL DENSITY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202LX	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Otorhinolaryngology BNRP AH02 - PRVC OTORHINOLARYNGOLOGY	16220 Airline Highway	Prairieville	LA	Active
DSH190202LY	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Rheumatology BNRP AH02 - PRVC RHEUMATOLOGY	16220 Airline Highway	Prairieville	LA	Active
DSH190202LZ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	ONLC Hepatology BNRP MC03 - ONLC HEPATOLOGY	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202M	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Genetics BRM	10310 The Grove Blvd	Baton Rouge	LA	Terminated
DSH190202MA	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Infectious Disease BNRP MC03 - ONLC INFECTIOUS DISEASE	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202MB	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Medvantage BNRP MC03 - ONLC MEDVANTAGE CLINIC	16777 Medical Center Drive	Baton Rouge	LA	Active
DSH190202MC	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pet Imaging BNRH MC02 - BRCH PET CT	17050 Medical Center Drive	Baton Rouge	LA	Active
DSH190202MD	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Gastroenterology BNRP BA05 - GBSC GASTROENTEROLOGY	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202ME	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	CT BNRH BA05 - GBSH CT SCAN	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202MF	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Mammography BNRH BA05 - GBSH MAMMOGRAPHY	2400 South Burnside Avenue	Gonzales	LA	Active
DSH190202MG	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Gastroenterology BNRP BB02 - BRBC GASTROENTEROLOGY	10150 Bluebonnet Boulevard	Baton Rouge	LA	Active
DSH190202MH	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Primary Care BNRP FR01 - OHPC PRIMARY CARE	29437 South Frost Road	Livingston	LA	Active
DSH190202MJ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Vascular Surgery BNRP MC03 - ONLC VASCULAR SURGERY	16777 Medical Center Drive	Baton Rouge	LA	ToBeTerminated
DSH190202MK	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Cardiothoracic Surg BNRP TG01 - HGVC CARDIOTHORACIC SURGERY	10310 The Grove Boulevard	Baton Rouge	LA	Active
DSH190202ML	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Breast Surgery BNRP MC02 - BRCC BREAST SURGERY	17050 Medical Center Drive	Baton Rouge	LA	Active
DSH190202MM	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Surgical Oncology BNRP MC03 - BRCC SURGICAL ONCOLOGY	17050 Medical Center Drive	Baton Rouge	LA	Active
DSH190202MN	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Mammography BNRH HW07 - IBVH MAMMOGRAPHY	25455 Highway 1	Plaquemine	LA	Active
DSH190202MP	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Infectious Disease BNRP TG01 - HGVC INFECTIOUS DISEASE	10310 The Grove Boulevard	Baton Rouge	LA	Approved
DSH190202MQ	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Prim Care Sports Med BNRP MC03 - ONLC SPORTS MEDICINE	16777 Medical Center Drive	Baton Rouge	LA	Approved
DSH190202MR	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Prim Care Sports Med BNRP AH02 - PRVC SPORTS MEDICINE	16220 Airline Highway	Prairieville	LA	Approved
DSH190202MS	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Sports Medicine BNRP BD04 - BBDC SPORTS MEDICINE	5444 Burbank Drive	Baton Rouge	LA	Approved
DSH190202MT	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Allergy BNRP AH02 - PRVC ALLERGY	16220 Airline Highway	Prairieville	LA	Approved
DSH190202MU	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pediatrics BNRP BA05 - GBSC PEDIATRICS	2400 South Burnside Avenue	Gonzales	LA	Approved
DSH190202N	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Family Practice BNRP HW04 - DHMC FAMILY MEDICINE	30819 Hwy 16	Denham Springs	LA	Active
DSH190202P	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Diabetes MGT DHM	30819 Hwy 16	Baton Rouge	LA	Terminated
DSH190202Q	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Urology BRM	10310 The Grove Blvd	Baton Rouge	LA	Terminated
DSH190202R	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Neurology BNRP SR01 - Central Neurology	11424 Sullivan Rd	Central	LA	Terminated
DSH190202S	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Obstetric&Gynecology BNRP HW07 - IBVC OBSTETRICS AND GYNECOLOGY	25455 LA 1	Plaquemine	LA	Active
DSH190202T	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Gastroenterology CEN	11424-2 Sullivan Rd	Central	LA	Terminated
DSH190202U	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Gastroenterology HPB	7855 Howell Place Blvd	Baton Rouge	LA	Terminated
DSH190202V	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pediatrics BNRP AH02 - PRVC PEDIATRICS	16220 Airline Hwy	Prairieville	LA	Active
DSH190202W	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Pediatrics CEN	11424-2 Sullivan Rd	Central	LA	Terminated
DSH190202X	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Internal Medicine BNRP AH02 - PRVC INTERNAL MEDICINE	16220 Airline Hwy	Prairieville	LA	Active
DSH190202Y	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Urgent Care BNRP AH03 - Prairieville Urgent Care	16220 Airline Hwy	Prairieville	LA	Terminated
DSH190202Z	Child	DSH	OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	Family Practice BNRP JH09 - JPLC FAMILY MEDICINE	8150 Jefferson Hwy	Baton Rouge	LA	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	9/5/2023 5:13:32 PM	8/28/2024 11:56:53 AM	8/28/2024 11:56 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	20172967400 (UT)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	300038347 (IN)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	42887 (TN)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	016882 (AZ)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	010947200 (FL)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	403442 (MT)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	1053360651 (NV)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	1053360651 (NC)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	85288 (OH)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	200539490A (OK)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	12035B (SC)		12/14/2023 10:27 AM
Medicaid Billing	Medicaid: Number	Delete	Group Change Request	139435500 (WY)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (FL)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (AZ)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (NV)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (NC)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (SC)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (WY)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (OK)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (UT)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (MT)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (OH)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (IN)		12/14/2023 10:27 AM
Medicaid Billing	NPI: Number	Delete	Group Change Request	1053360651 (TN)		12/14/2023 10:27 AM
Details	Last Recertification Date	Update	Recertification	9/2/2022 11:50:51 AM	9/5/2023 5:13:32 PM	9/5/2023 5:13 PM
Addresses	Shipping Address	Insert	Change Request		PETNET 67256 Industry Ln Covington, LA 70433	6/30/2023 9:58 AM
Addresses	Shipping Address	Insert	Change Request		Cardinal 1405 Jefferson Hwy New Orleans, LA 70121	6/30/2023 9:58 AM
Details	Last Recertification Date	Update	Recertification	9/13/2021 2:23:06 PM	9/2/2022 11:50:51 AM	9/2/2022 11:50 AM
Addresses	Shipping Address	Insert	Change Request		Ochsner Medical Complex - The Grove Infusion Pharmacy 10310 The Grove Blvd. Baton Rouge, LA 70836	5/10/2022 6:47 AM
Addresses	Shipping Address	Insert	Change Request		Safecor Health 4060 Business Park Dr Suite B Columbus, OH 43204	10/13/2021 11:57 AM
Addresses	Shipping Address	Insert	Recertification		3PL Ochsner McKesson 3301 Pollok Dr Conroe, TX 77303	9/13/2021 2:23 PM
Addresses	Shipping Address	Insert	Recertification		Ochsner Medical Center - Baton Rouge, LLC 17000 MEDICAL CENTER DR. BATON ROUGE, LA 70816	9/13/2021 2:23 PM
Details	Last Recertification Date	Update	Recertification	9/14/2020 6:49:52 AM	9/13/2021 2:23:06 PM	9/13/2021 2:23 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	7/6/2021 2:36 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		42887	7/6/2021 2:36 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		TN	7/6/2021 2:36 PM
Medicaid Billing	NPI: Number	Insert	Group Change Request		1053360651	7/6/2021 2:36 PM
Medicaid Billing	NPI: State	Insert	Group Change Request		TN	7/6/2021 2:36 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/14/2020 6:49 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		300038347	9/14/2020 6:49 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		IN	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1053360651 ( )		9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		GA	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		FL	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		AZ	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		CO	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		NV	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		NC	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		NM	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		SC	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		WY	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		LA	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		OK	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		UT	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		MS	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		TX	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		MT	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		OH	9/14/2020 6:49 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1053360651	9/14/2020 6:49 AM
Medicaid Billing	NPI: State	Insert	Recertification		IN	9/14/2020 6:49 AM
Details	Last Recertification Date	Update	Recertification	9/11/2019 10:30:14 AM	9/14/2020 6:49:52 AM	9/14/2020 6:49 AM
Addresses	Billing Address	Insert	Recertification		Ochsner Clinic Foundation - Accounts Payable 1201 Dickory Ave New Orleans, LA 70123	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		225075	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		MS	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1053360651	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		NM	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		20172967400	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		UT	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	146100 (AL)		9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Number	Update	Recertification	52322327	1053360651	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	805511 (CT)		9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Number	Update	Recertification	1053360651	403442	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Number	Update	Recertification	1053360651	85288	9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	1053360651 (TN)		9/11/2019 10:30 AM
Medicaid Billing	Medicaid: Number	Update	Recertification	329678202	329678203	9/11/2019 10:30 AM
Details	Last Recertification Date	Update	Recertification	9/5/2018 11:48:00 AM	9/11/2019 10:30:14 AM	9/11/2019 10:30 AM
Details	Last Recertification Date	Update	Recertification	11/30/2017 12:41:29 PM	9/5/2018 11:48:00 AM	9/5/2018 11:48 AM
Details	Last Recertification Date	Update	Recertification	9/4/2016 12:00:00 AM	11/30/2017 12:41:29 PM	11/30/2017 12:41 PM
Contacts	Authorizing Official	Update	Change Request	COLLIGAN, COLLEEN CHIEF FINANCIAL OFFICER 2257554876	Teal, Dianne Chief Nursing officer Ochsner Medical Center Baton Rouge 2257554983	10/19/2017 7:46 PM
Contacts	Primary Contact	Update		Maturin, Heather Director of Pharmacy 2257554810	Maturin, Heather Director of Pharmacy Ochsner Medical Center 2257554810	10/5/2017 11:35 AM
Contacts	Primary Contact	Update		Boothe, Andy Director of Pharmacy 2257554893	Maturin, Heather Director of Pharmacy 2257554810	3/24/2017 11:22 AM
Addresses	Main Address	Insert			17000 MEDICAL CENTER DR. BATON ROUGE, LA 70816	9/4/2016 10:10 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			146100	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			AL	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			016882	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			AZ	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			52322327	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			CO	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			805511	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			CT	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			010947200	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			FL	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			003138654A	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			GA	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			1053360651	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			MT	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			1053360651	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			NV	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			1053360651	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			NC	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			1053360651	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			OH	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			200539490A	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			OK	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			12035B	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			SC	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			1053360651	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			TN	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			329678202	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			TX	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Number	Insert			139435500	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: State	Insert			WY	9/4/2016 10:09 PM
Details	Last Recertification Date	Update		8/25/2015 12:00:00 AM	9/4/2016 12:00:00 AM	9/4/2016 10:09 PM
Medicaid Billing	Medicaid: Is Primary	Update		True	False	8/25/2015 11:26 AM
Details	Last Recertification Date	Update		9/8/2014 12:00:00 AM	8/25/2015 12:00:00 AM	8/25/2015 11:26 AM
Contacts	Primary Contact	Insert			Boothe, Andy Director of Pharmacy 2257554893	10/31/2014 1:28 PM
Details	Last Recertification Date	Update		9/9/2013 12:00:00 AM	9/8/2014 12:00:00 AM	9/8/2014 2:00 PM
Contacts	Authorizing Official	Insert			COLLIGAN, COLLEEN CHIEF FINANCIAL OFFICER 2257554876	9/9/2013 10:54 AM
Medicaid Billing	NPI: Number	Insert			1053360651	9/9/2013 10:53 AM
Details	Last Recertification Date	Update		7/1/2012 12:00:00 AM	9/9/2013 12:00:00 AM	9/9/2013 10:53 AM
Details	Last Recertification Date	Update			7/1/2012 12:00:00 AM	5/29/2012 12:18 PM
Details	Last Recertification Date	Insert				6/15/2010 8:30 AM
Details	Grant Number	Insert				6/15/2010 8:30 AM
Details	340B ID	Insert			DSH190202	6/15/2010 8:30 AM
Details	Is Authorizing Official EHB Data	Insert				6/15/2010 8:30 AM
Dates	Last Date That 340B Drugs Purchased	Insert				6/15/2010 8:30 AM
Details	Medicare Provider Number	Insert			190202	6/15/2010 8:30 AM
Details	Entity Name	Insert			OCHSNER MEDICAL CENTER- BATON ROUGE, LLC	6/15/2010 8:30 AM
Details	Program Code	Insert			DSH	6/15/2010 8:30 AM
Details	Entity Subname	Insert				6/15/2010 8:30 AM
Dates	Participating Approval Date	Insert			6/15/2010 12:00:00 AM	6/15/2010 8:30 AM
Details	State	Insert			Active	6/15/2010 8:30 AM
Dates	Registration Date	Insert			6/10/2010 12:00:00 AM	6/15/2010 8:30 AM
Dates	Signed By Date	Insert			5/20/2010 12:00:00 AM	6/15/2010 8:30 AM
Dates	Start Date	Insert			7/1/2010 12:00:00 AM	6/15/2010 8:30 AM
Terminations	Termination Comments	Insert				6/15/2010 8:30 AM
Terminations	Termination Date	Insert				6/15/2010 8:30 AM
Terminations	Termination Effective Date	Insert				6/15/2010 8:30 AM
Terminations	Termination Reason	Insert				6/15/2010 8:30 AM
Medicaid Billing	Medicaid: Is Primary	Insert			True	6/10/2010 3:05 PM
Medicaid Billing	Medicaid: Number	Insert			1700797	6/10/2010 3:05 PM
Medicaid Billing	Medicaid: State	Insert			LA	6/10/2010 3:05 PM